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Case Reports
. 2024 Sep 19;10(6):101633.
doi: 10.1016/j.jvscit.2024.101633. eCollection 2024 Dec.

Acute abdominal aortic occlusion due to gastric dilatation caused by pyloric stenosis in a 62-year-old patient

Marcin Geremek  1 , Krzystof Bojakowski  1 , Wojciech Jagodziński  1
Affiliations
Case Reports

Acute abdominal aortic occlusion due to gastric dilatation caused by pyloric stenosis in a 62-year-old patient

Marcin Geremek et al. J Vasc Surg Cases Innov Tech. .

Abstract

Acute gastric dilatation leading to compromised vascular visceral vascular flow is an exceptionally rare complication typically described in patients with bulimia or anorexia following binge episodes. We present a fatal case involving a non-bulimic patient who experienced an acute gastric dilatation secondary to pyloric stenosis. Despite intensive treatment, the patient succumbed to complications arising from acute reperfusion syndrome. Managing such patients is highly challenging, and the prognosis is often poor, as supported by the limited reports available in the literature.

Keywords: Aortic compression; Gastric dilatation; Pyloric stenosis.

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Conflict of interest statement

None.

Figures

Fig 1
Fig 1
Compressed abdominal aorta by gastric distension.
Fig 2
Fig 2
Tight pyloric stenosis causing gastric distension.
See this image and copyright information in PMC

References

    1. Elsharif M., Doulias T., Aljundi W., Balchandra S. Abdominal aortic occlusion and vascular compromise secondary to acute gastric dilatation in a patient with bulimia. Ann R Coll Surg Engl. 2014;96:15–17. - PMC - PubMed
    1. Gyurkowics E., Tihanyi B., Szijarto A., et al. Fatal outcome from extreme acute gastric dilatation after an eating binge. Int J Eat Disord. 2006;39:602–605. - PubMed
    1. Ah Young Kim, Se Yong Sung, Lucy Yougmin Eun. Life-threating acute gastric dilatation with aorta compression in a 3-year-old child. Pediatr Int. 2015;57:1184–1186. - PubMed
    1. Greenish D., Pathak S., Titcomb D., Armstrong L. A rare case of tension pneumoperitoneum secondary to gastric perforation associated with severe aortic compression. BJR Case Rep. 2022;8 - PMC - PubMed
    1. Cadena M., Solano J., Caycedo N., et al. Tension pneumoperitoneum: case report of a rare form of acute abdominal compartment syndrome. Int J Sung Case Rep. 2019;55:112–116. - PMC - PubMed

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